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General NPI Number Information
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NPI Number | 1063642601
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Entity Type | Individual
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Provider Name | VIRGINIA SHIPLEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 77 JANE ST 1A
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City | NEW YORK
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State | NY
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Zip | 10014-1765
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Country | US
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Telephone | 212-807-0874
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Fax | 212-337-1072
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Provider Business Mailing Address
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Address Line | 77 JANE ST 1A
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City | NEW YORK
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State | NY
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Zip | 10014-1765
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Country | US
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Telephone | 212-807-0874
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Fax | 212-337-1072
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R075233-1
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License Number State | NY
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